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American Student Dental AssociationWestern Regional Meeting

Chicago, IllinoisOctober 29, 2010

LEADERSHIP FOR THE DECADE AHEAD

Arthur A. Dugoni, D.D.S., M.S.D.Dean Emeritus

Professor of OrthodonticsSenior Executive for Development

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CHALLENGES FOR LEADERSHIP IN THE

DECADE AHEAD

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LEADERSHIP

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LEADERSHIP

“To every man there comes in his life that special moment when he is figuratively tapped on the shoulder

and offered that chance to do a very special thing, unique to him, and fitted to his talents.

What a tragedy if that moment finds him unprepared or unqualified for that work.”

- Winston Churchill

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LEADERSHIP

Shakespeare said in Twelfth Night

“Some are born great,

others achieve greatness,

and others have greatness thrust upon them.”

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LEADERSHIP

Leadership matters

Leadership is important

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LEADERSHIP

Common Characteristics:

Capacity for Hard Work

Ability to Inspire Respect

Caring Attitude

Good Judgment

Highly Developed Communication Skills

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LEADERSHIP

Leaders must be seen to be UP

UP Front

UP to date

UP to their jobs

UP early in the morning

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LEADERSHIP –

Dugoni’s Five s

Be there Be disciplinedBe there on time Be balancedBe involved

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LEADERSHIP

My Style

Communication at every level

Meetings– Individual– Groups

Hybrid Organizational Table

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LEADERSHIP

Natural born leaders is a myth

An art and science you can learn

Desire

Respect people

Liberate and empower people

Remove barriers

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LEADERSHIP - Decision Making

Never assume a responsibility you can delegate

Steven B. Sample “Contrarian Leadership”

“Artful” procrastination

Listening skills

Help people succeed

Protect your people

Grow people

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LEADERSHIP

Demonstrate

Integrity Enthusiasm

Fairness Optimism

Trust Honesty

Drive

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LEADERSHIP

“What you are speaks so loudly I can hardly hear what you are saying.”

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LEADERSHIP

Successful Leaders Know what they want

Why they want it

Leaders just don’t do things right, they do the right thing (Fairness)

Power corrupts

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LEADERSHIP

“The ability to lead and direct change is the most significant management skill

needed today.”

Lead people – manage things Shared vision Effective leadership teams

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LEADERSHIP

Focus on the Future

Skilled planners

Innovative

Take risks

Learn from mistakes

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LEADERSHIP

“Neutron Jack”

“Saul on the Road to Damascus”

“Winning” – Jack Welch

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LEADERSHIP

Successful Executives

Use Six Styles

Seamlessly– Musician– Golf Pro

Exact Science

Complete Mystery

Daniel Goleman “Emotional Intelligence”

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LEADERSHIP – Coercive Style

Demand immediate compliance

“DO WHAT I TELL YOU”

Kills new ideas

Negative impact

Least effective

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LEADERSHIP – Authoritative Style

Mobilizes people toward a vision

“COME WITH ME”

Change catalyst

Impact - Positive

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LEADERSHIP – Affiliative Style

“PEOPLE COME FIRST”

Emotional bonds

Loyalty

Belonging

Powerful results with authoritative style

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LEADERSHIP – Democratic Style

Forges consensus

“WHAT DO YOU THINK?”

Positive Impact

But Results In:

Endless meetings Consensus – Illusive When?

“When you come to a fork in the road, take it”- Yogi Berra

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LEADERSHIP – Pace Setting Style

High standards “DO AS I DO – NOW!”

Overwhelming Expert sets the rules Negative results

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LEADERSHIP – Coaching Style

Develops people Empathy

“TRY THIS” Excels at delegating Instruction and feedback

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LEADERSHIP – Coaching Style

“I BELIEVE IN YOU” - - -

Positive results Used the least – Why? Powerful tool

“Ninety percent of the game is half mental”

- Yogi Berra

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LEADERSHIP

MASTER THESE FOUR

1. Authoritative

2. Democratic

3. Affiliative

4. Coaching

•Jim Collins – “Good to Great”

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LEADERSHIP

Leadership is a world of

Passion Vision – what needs to be done Courage – to do it

One of the greatest tragedies in our world is all the people who hate their work or merely tolerate it!

Steven Covey – 7 Habits / 8th Habit

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LEADERSHIP

If you don’t love what you do, you will never go the extra mile, work the extra hour or

dream up the new idea.

“Never work a day in your life” – Confucius

“This is the best day of my life”

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LEADERSHIP

TAKE CUSTODY OF YOUR OWN LIFE

Eat more ice cream

Know the color of your kids’ eyes

Smell the salt water on an ocean breeze

Life is not a dress rehearsal

NEW RULES FOR MANAGEMENT

New Rules Old Rules

1. Agile is best; Big dogs own the

Being big can bite you street

2. Find a niche; Be number one or

Create something new number two in yourmarket

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NEW RULES FOR MANAGEMENT

New Rules Old Rules

3. Customer is king Shareholders rule

4. Look out, not inward Be lean and mean

5. Hire passionate people Rank your players;

Go with the As

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NEW RULES FOR MANAGEMENT

New Rules Old Rules

6. Hire a courageous Hire a charismatic

CEO CEO

7. Admire my soul Admire my might

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THIS IS THE END OF THE STORY…

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THE DENTAL PROFESSION AND

DENTAL EDUCATION NOW

AND IN THE FUTURE

LEADERSHIP MATTERS

DENTAL EDUCATION – OUR LEGACY – OUR FUTURE

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I will not talk about... I would like to share some thoughts with you

regarding our profession and dental education and leadership

I am privileged to be part of a great profession for more than 60 years and 28 years as Dean and Professor of Orthodontics

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We are privileged to be part of a great profession and a future that is brighter and more rewarding than ever

Why? The dental profession always puts the patient first - high degree of ethics and professionalism by practitioners - leadership, vision, and planning

Results - We have obtained and received the accolades of our patients and society in general

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OUR PROFESSION

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POSITIVES include:

– New materials and technology

– Awesome results of advances in science, research, and education

– Lasers - bonding - antimicrobials - immunomodulators - new pharmaceuticals - veneers/cosmetic dentistry

– Rotary endodontics and instrumentation

– Implants, Invisalign

– DNA, cloning, stem cell research

– ETC.

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DEMOGRAPHIC POSITIVES

– 6,300 (1975) → 1st yr students 4,600 (2006)– 58 to 60 dentists per 100,000 to currently 53 dentist

practitioners per 100,000 patients– High increases in the population; immigration;

increasing child births; etc.– We solved the problems of the 80s when we over

produced dentists for this country’s needs

– Q - Do we have enough dentists and allied health professionals for the decade ahead?

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WHAT ARE THE

DARKER SIDES?

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Oral Health in America:A Report of the Surgeon General

Department of Health and Human Services

U.S. Public Health, 2000

David Satcher MD, PhD

Surgeon General

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“What amounts to a ‘silent epidemic’ of oral disease is affecting our most vulnerable citizens -

poor children, the elderly, and many membersof racial and ethnic minority groups.”

(US General Accounting Office 2000)

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ACCESS TO CARE

Over 108 million children and adults lack dental insurance, which is over 2.5 times the number who lack medical insurance.

Access to care makes a difference. A complex set of factors underlies access to care and includes the need to have an informed public and policymakers, and resources to pay and reimburse for the care.

Among other factors, the availability of insurance increases care.

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ACCESS TO CARE

100 million Americans without access to fluoridated water

30,000 oral cancer patients diagnosed per year with 8,000 deaths

Increasing unmet caries needs of children; aging population with medical concerns, etc.

High on the radar screen of legislators

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MANPOWER CONCERNS

Increasing population Decreasing number of graduates Retirement of aging professionals More DDS retirees per year than graduates

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ROLE OF ALLIED HEALTH PROFESSIONALS

New Zealand and Canadian nurse models being resurrected Concerns of Alaska and the Indian Nation with respect to

dental care in remote areas Medical doctors and RNs providing fluoride varnishes and

sealants to patients Expanded duties for registered dental assistants and

registered dental hygienists being reevaluated and challenged

Minnesota Challenge

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U.S. Resident Population Projection:2000-2050

250

300

350

400

450

2000 2010 2020 2030 2040 2050

Res

iden

t po

pula

tion

(in

mil

lion

s)

Source: U.S. Bureau of the Census, 2004, U.S. Interim Projections.

282.1

419.8

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Professionally Active Dentists per100,000 U.S. Population: 1976 - 2020

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53

55

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Actual Projected

Source: American Dental Association, Survey Center, Dental Workforce Model 2001-2025

1976 1982 1987 1992 1994 2000 2005 2010 2015 2020

50.7

60.2

55.0

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National Health and Dental Service Expenditures: 1980 - 2001

1990 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001

National Health Expenditures Dental Service Expenditures

$1,424.5

$31.6 $65.6

4.5%* 4.6%*

$699.4

* Dental Expenditures as a Percent of Total Health Expenditures

In B

illi

ons

of D

olla

rs

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Distribution of Public and PrivateU.S. Dental Schools as of 2004

Public Dental Schools

Private Dental SchoolsPuerto Rico

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NEW SCHOOLS ON THE HORIZON

Las Vegas, Nevada (opened) Miami, Florida (Nova) (opened) Mesa, Arizona (Arizona School of Dentistry and Oral Health)

(opened) Hawaii Virginia Utah North Carolina (Greenville) California (Pomona) (San Diego) Arizona (Glendale – will open 2008)

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CLOSED SCHOOLS

Georgetown Loyola (Chicago) Washington University (St. Louis) Fairleigh Dickinson Oral Roberts Loyola (New Orleans) Northwestern

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LICENSURE

ISSUES

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LICENSURE

Freedom of movement concerns

ADA and AADE - Part III National Board examination – WREB, ADEA

California Dental Association Task Force on Licensure Reform

CDA House of Delegates Resolutions

New York - PGY-I model (mandatory)

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LICENSURE

My vision and dreams– Licensure AT graduation– Licensure by credential (specialists)

Dental Board Initiatives– Enforcement– Continued competency

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STUDENT DEBT

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TRENDS IN DENTAL EDUCATION

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DENTAL EDUCATION CRISIS

Aging facilities

Aging professoriate

400 unfilled positions (Nationally)

Widening discrepancy between income of educator and clinicians, and especially specialists

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DENTAL EDUCATION CRISIS

Dismal annual giving record to dental schools generally by the profession

Lack of endowments at dental schools

Escalating cost of education

Increasing indebtedness of students

Disengaged alumni

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AMERICAN DENTAL ASSOCIATION FOUNDATION

$1 billion campaign for education Past history - 1988 challenge (future prediction of

crisis) Why now? It is here! ADA Board of Trustees support ADA Foundation Directors support Planning stage

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2003: ADA Foundation examined goal

Goal too large for single organization

“We must all work together!”

2004: ADAF formed 45-member Task Force

December 2005: ADA and ADAF approved Task Force’s implementation plan

Launched – July 2006

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Purpose

1. Raise awareness for the challenges facing dental education

2. Promote culture of philanthropy

3. Deliver a call to action

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• 51 dental schools

• 56 dental organizations

• 2 donor partners

• Partner list growing

• Will seek to work collaboratively

• First benchmark – collectively generate more than $500 million by end of December 2014

• Generate more than $1 Billion by end of 2029

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Partners will:

1. Implement their own fundraising programs

2. Set their own goals

3. Raise their own funds

4. Utilize/distribute funds

5. Report amount raised

71What is missing?

Healer

Part of theMedical Society

Intelligent/Learned

Prevention

BusinessPerson

Part of a Respected Profession

MaintenanceArtist

Not a Commodity

Lifelong Learner

UniqueServiceProvider

Science of Care

Entrusted with Care of Others

Control My Own Destiny

TeacherMake People

Feel Good

I am a DOCTOR

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Healer

Part of theMedical Society

Intelligent/Learned

Prevention

BusinessPerson

Part of a Respected Profession

MaintenanceArtist

Not a Commodity

Lifelong Learner

UniqueServiceProvider

Science of Care

Entrusted with Care of Others

Control My Own Destiny

TeacherMake People

Feel Good

I am a PHILANTHROPIST

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How Can You Help?

- Be a champion – tell others!

- Support one or more of the partners by making a major contribution or pledge!

- Volunteer with one or more of the partnering organizations…get involved!

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CHALLENGES

SUPPORT DENTAL EDUCATION AND DENTAL SCHOOLS

Create endowmentsSupport annual giving

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ENDOWMENTS

Endowments build great universities

Endowments will build great dental schools

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CONCLUSION - THE FUTURE (?)

We are privileged to be part of a great profession.

How great the future of the profession will be is dependent upon you and your commitment, your compassion, and your generosity.

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DENTAL EDUCATION – OUR LEGACY – OUR FUTURE

“You ain’t seen

nothing, yet”

- Arthur A. Dugoni

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THE FUTURE

IF NOT YOU, THEN WHO?

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Together

we can make

a difference